FINAL, 200, CRITICAL THINKING, HONDROS
Study online at https://quizlet.com/_cya3qd
1. Tanner's Clinical Judgement Model
Strengthens ability to make correct clinical judgment
Context=Situation
CRITICAL THINKING: Noticing
Interpreting
Responding
Reflecting
2. Notice (5)
The thinking process,
(Assessment): Identify S&S
Gathering Complete & Accurate Date
Assessing Systemically & Comprehensively
PREDICTING & Managing Potential Complications
Identifying Assumptions
Factors that influence noticing are:
intrapersonal characters of nurse(nurse opinion)
theoretical and knowledge of nurse(nurse experience)
knowing patient
context or environment of care(pcp vs ortho doc)
Uses-nurse knowledge, experience, ethical perspective and knowing the patient to
help in assessment.
3. Identify Signs and Symptoms (1/5): Indicates when a situation is normal, ab-
normal or has changed.
Objective-what you're seeing-Measurable (vital signs).
Subjective: what they're telling you (only from the patient).
4. Gathering Complete & Accurate Data (2/5): Data collected from all available
sources is used as the basis for identifying issues, problems and concerns.
Information from neighbor, labs, medical records.
5. Assessing Systemically & Comprehensively(3/5): Use a systematic method of
assessment so no important information is missed.
Head to toe, ROS, Focused assessment, pain scale.
6. PREDICTING & Managing Potential Complications (4/5): "look at the big pic-
ture" to prepare for potential future complications.
1/8
, FINAL, 200, CRITICAL THINKING, HONDROS
Study online at https://quizlet.com/_cya3qd
Blood sugar may drop soon without dietary support. May fall d/t confusion.
7. Identifying Assumptions (5/5): Arriving at a conclusion without supporting evi-
dence.
Assuming patient is depressed d/t his wife's death.
8. Interpreting (9)
Making meaning of our findings (Diagnose & Plan): Comparing & Contrasting
Clustering Related Information
Recognizing Inconsistencies
Checking Accuracy & Reliability
Distinguishing Relevant from Irrelevant Information
Determining the Importance of Information
Judging How Much Ambiguity is Acceptable
Using Legal, Ethical and Professional Guidelines
Predicting & MANAGING Potential Complications
9. Comparing & Contrasting (1/9): Allows for recognition of subtle differences
(nuances) between situations. Patients with the same diagnosis may look the same
but are different.
Compare patient status before and after glucagon given.
10. Clustering Related Information (2/9): Grouping together information with a
common theme to determine issues, problems, or concerns.
Psychosocial (living alone, wife's death, support system, diet management, medica-
tion management and compliance)
11. Recognizing Inconsistencies (3/9): Data that does not match may indicate
additional problems.
High HgbA1c and low serum glucose.
States "gets busy with activities and forgets to eat." Also states, "since wife died only
eats maybe one meal a day."
12. Checking Accuracy & Reliability (4/9): Actions based on inaccurate or unreli-
able information could cause patient harm.
Recheck patient serum glucose levels.
13. Distinguishing Relevant from Irrelevant Information (5/9): Recognizing infor-
mation that is pertinent to a particular problem.
2/8
Study online at https://quizlet.com/_cya3qd
1. Tanner's Clinical Judgement Model
Strengthens ability to make correct clinical judgment
Context=Situation
CRITICAL THINKING: Noticing
Interpreting
Responding
Reflecting
2. Notice (5)
The thinking process,
(Assessment): Identify S&S
Gathering Complete & Accurate Date
Assessing Systemically & Comprehensively
PREDICTING & Managing Potential Complications
Identifying Assumptions
Factors that influence noticing are:
intrapersonal characters of nurse(nurse opinion)
theoretical and knowledge of nurse(nurse experience)
knowing patient
context or environment of care(pcp vs ortho doc)
Uses-nurse knowledge, experience, ethical perspective and knowing the patient to
help in assessment.
3. Identify Signs and Symptoms (1/5): Indicates when a situation is normal, ab-
normal or has changed.
Objective-what you're seeing-Measurable (vital signs).
Subjective: what they're telling you (only from the patient).
4. Gathering Complete & Accurate Data (2/5): Data collected from all available
sources is used as the basis for identifying issues, problems and concerns.
Information from neighbor, labs, medical records.
5. Assessing Systemically & Comprehensively(3/5): Use a systematic method of
assessment so no important information is missed.
Head to toe, ROS, Focused assessment, pain scale.
6. PREDICTING & Managing Potential Complications (4/5): "look at the big pic-
ture" to prepare for potential future complications.
1/8
, FINAL, 200, CRITICAL THINKING, HONDROS
Study online at https://quizlet.com/_cya3qd
Blood sugar may drop soon without dietary support. May fall d/t confusion.
7. Identifying Assumptions (5/5): Arriving at a conclusion without supporting evi-
dence.
Assuming patient is depressed d/t his wife's death.
8. Interpreting (9)
Making meaning of our findings (Diagnose & Plan): Comparing & Contrasting
Clustering Related Information
Recognizing Inconsistencies
Checking Accuracy & Reliability
Distinguishing Relevant from Irrelevant Information
Determining the Importance of Information
Judging How Much Ambiguity is Acceptable
Using Legal, Ethical and Professional Guidelines
Predicting & MANAGING Potential Complications
9. Comparing & Contrasting (1/9): Allows for recognition of subtle differences
(nuances) between situations. Patients with the same diagnosis may look the same
but are different.
Compare patient status before and after glucagon given.
10. Clustering Related Information (2/9): Grouping together information with a
common theme to determine issues, problems, or concerns.
Psychosocial (living alone, wife's death, support system, diet management, medica-
tion management and compliance)
11. Recognizing Inconsistencies (3/9): Data that does not match may indicate
additional problems.
High HgbA1c and low serum glucose.
States "gets busy with activities and forgets to eat." Also states, "since wife died only
eats maybe one meal a day."
12. Checking Accuracy & Reliability (4/9): Actions based on inaccurate or unreli-
able information could cause patient harm.
Recheck patient serum glucose levels.
13. Distinguishing Relevant from Irrelevant Information (5/9): Recognizing infor-
mation that is pertinent to a particular problem.
2/8
